Form view – Canadian Provincial Nominee & Immigration Services

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PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Skilled Worker
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mrs.
First Name	Agnes Arielle
Middle Name	Alcantara
Last Name	Sante
Place of Birth	Mariveles, Bataan
Country of Citizenship	Philippines
EDUCATION	Bachelor's Degree
Other Eduction	Practical Nursing
Current Occupation	Rescue Medics Nurse
Occupation in Years	5
Occupation in Months	60
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Good
French	Fair
Specify Other Language	Tagalog
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Fair
French	Fair
Specify Other Language	Tagalog
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mr.
First Name	Arvin
Middle Name	Bautista
Last Name	Sante
Birth Date (m/d/y)	17/09/1989
Place of Birth	Mariveles, Bataan
Country of Citizenship	Philippines
N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below	3rd year college level in Bachelor of Science in Business Administration
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Lois Antoinette Alcantara
Date of Birth (mm/dd/yyyy)	05/21/2013
Place of Birth	Balanga City, Bataan
2. Name	Eunice Antoinette Alcantara
Date of Birth (mm/dd/yyyy)	05/21/2013
Place of Birth	Balanga City, Bataan
3. Name	Timothy Caleb Sante
Date of Birth (mm/dd/yyyy)	06/30/2015
Place of Birth	Mariveles, Bataan
DO YOU HAVE ANY RELATIVES IN CANADA?	Yes
WHERE DO YOU INTEND TO LIVE IN CANADA?	WHERE DO YOU INTEND TO LIVE IN CANADA?
City/Town	Scarborough
Province	Ontario
UPLOAD RESUME	AGNES-ARIELLE-ALCANTARA-SANTE.docx
CONTACT DETAILS	CONTACT DETAILS
Address	Room 2 Ken Lestre J. Carlos Apartment, Claro Paguio Street, San Carlos, Mariveles, Bataan 2105 Philippines
Contact Number	(995) 756-6343
Email Address	Email hidden; Javascript is required.
Fax Number	n/a